Test Directory

Test Code
PBGUR
Test Name
Porphobilinogen, Urine
CPT Codes
84110
Expected Turnaround Time
4 - 7 days
Clinical Utility

Urinary Porphobilinogen is the first step in the diagnosis of acute porphyria such as acute intermittent porphyria (AIP). AIP is an autosomal dominant disorder characterized by deficiency of porphobilinogen deaminase. An acute attack usually includes gastrointestinal disturbance and neuropsychiatric disorders.

Specimen and Container Info

Specimen Type: Random Urine Protected from Light

  

Collection Container: Plastic Urine Container (Preservative Free) 

    

Desired Specimen Volume: 2 mL

Collection Instructions
  1. Collect random urine.
  2. Protect from UV light.
Processing and Submission Instructions
  1. Transfer 2 mL of urine to an amber aliquot tube (screw cap).
  2. If an amber aliquot tube is not available, completely wrap specimen and cap with aluminum foil.
Patient Preparation

Whenever possible, the specimen should be collected during an acute episode because porphobilinogen (PBG) may decrease rapidly upon remission. 

Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Refrigerated

7 days

Frozen

30 days

Causes for Rejection
  • Not protected from light
Methodology
Chromatography/Mass Spectrometry
Reference Intervals

 See patient report.

Limitations

PBG may degrade when samples are exposed to UV light for extended periods, or are transported at ambient temperature.

All results should be interpreted in the context of clinical findings, relevant history, and other laboratory data.

Alternate Names
  •  Porphobilinogen, Quantitative, Random Urine
Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, 3 times per week